License Verification

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LAILA NICOLE HABIB

License Number: PA9111509

Data As Of 5/17/2024

Profession
Physician Assistant
License
PA9111509
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/04/2018
Address of Record
601 E Rollins Street
ORLANDO, FL 32803
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
2000 Fowler Grove Blvd
WINTER GARDEN, FL 34787
Address
201 N. Park Ave
APOPKA, FL 32703
Name Relationship Profession License Effective Date
BABB, KEVIN OLIVER Supervising Prescribing Practitioner Medical Doctor 130725 12/17/2018
BASTERRECHEA, HUGO ROMULO Supervising Prescribing Practitioner Medical Doctor 104965 12/17/2018
BAUMGARDNER, MAXEN LANE Supervising Prescribing Practitioner Osteopathic Physician 10872 12/17/2018
BENNETT, MILES CLARK Supervising Prescribing Practitioner Osteopathic Physician 10955 12/17/2018
BIRENBAUM, DALE SCOTT MD Supervising Prescribing Practitioner Medical Doctor 72696 12/17/2018
BLEVINS, GRAIG EDWARD Supervising Prescribing Practitioner Osteopathic Physician 12408 12/17/2018
BOWLS, BRADFORD JORDAN Supervising Prescribing Practitioner Medical Doctor 76194 12/17/2018
BRAHMBHATT, ALKESH PRAVIN Supervising Prescribing Practitioner Osteopathic Physician 8985 12/17/2018
CABATU, AMABEL-JOVAN CHUA MD Supervising Prescribing Practitioner Medical Doctor 96128 12/17/2018
CAMACHO-ACEVEDO, LESLIE ROSIE Supervising Prescribing Practitioner Medical Doctor 125213 12/17/2018
CARON, JESSE ANTHONY Supervising Prescribing Practitioner Medical Doctor 99918 12/17/2018
CHARNAS, JEANNE MARIE SMREKAR Supervising Prescribing Practitioner Medical Doctor 72486 12/17/2018
CHEESEBREW, JOHN FRANKLIN II Supervising Prescribing Practitioner Medical Doctor 119183 12/17/2018
CHESLOCK, TIMOTHY JOHN Supervising Prescribing Practitioner Osteopathic Physician 12099 12/17/2018
CHIN, KEVIN WESLEY Supervising Prescribing Practitioner Medical Doctor 130328 12/17/2018
CISNEROS, LEONARDO Supervising Prescribing Practitioner Osteopathic Physician 8015 12/17/2018
CLAYTON, JEROME Supervising Prescribing Practitioner Medical Doctor 127193 12/17/2018
CLEVELAND, RENEE MICHELLE Supervising Prescribing Practitioner Medical Doctor 79367 12/17/2018
COOPER, HERBERT PRESS III Supervising Prescribing Practitioner Medical Doctor 91330 12/17/2018
CORTES-BELEN, ERNESTO MD Supervising Prescribing Practitioner Medical Doctor 76249 12/17/2018
CUBERO, ISMAEL CANDIDO Supervising Prescribing Practitioner Medical Doctor 126889 12/17/2018
DALEY, JANIN CHRISTIN Supervising Prescribing Practitioner Medical Doctor 123412 12/17/2018
DENNEY, CLIFFORD JOSEPH MD Supervising Prescribing Practitioner Medical Doctor 106797 12/17/2018
DIAZ BALZAC, ROBERTO J Supervising Prescribing Practitioner Medical Doctor 127423 12/17/2018
DOTSON, TRACE M Supervising Prescribing Practitioner Osteopathic Physician 12691 12/17/2018
FERNANDEZ FERNANDEZ, JUAN RAFAEL Supervising Prescribing Practitioner Medical Doctor 127278 12/17/2018
FRIEND, VICKI KAY DO Supervising Prescribing Practitioner Osteopathic Physician 7562 12/17/2018
FRISCH, MARK SCOTT Supervising Prescribing Practitioner Medical Doctor 96093 12/17/2018
GALLEGOS, LAURA ELISA ALDARONDO Supervising Prescribing Practitioner Medical Doctor 107281 12/17/2018
GOLDMAN, DAVID DO Supervising Prescribing Practitioner Osteopathic Physician 8129 12/17/2018
GRAZIANO, JENNY D Supervising Prescribing Practitioner Medical Doctor 99574 12/17/2018
GREGORY, CHRISTEN NICHOLE MD Supervising Prescribing Practitioner Medical Doctor 118702 12/17/2018
GUZMAN MARTINEZ, SAMUEL Supervising Prescribing Practitioner Medical Doctor 89143 12/17/2018
HAUS, DOUGLAS MARTIN Supervising Prescribing Practitioner Osteopathic Physician 12432 12/17/2018
HERNANDEZ, DENNIS ARNALDO Supervising Prescribing Practitioner Medical Doctor 55104 12/17/2018
HORNER, KIMBERLY BOGARD Supervising Prescribing Practitioner Medical Doctor 129828 12/17/2018
JANWADKAR, SHAKUNTALA SANDEEP MD Supervising Prescribing Practitioner Medical Doctor 86339 12/17/2018
KOSCINSKI, FELICE ILENE Supervising Prescribing Practitioner Medical Doctor 70986 12/17/2018
KRUGER, MARK SAUL Supervising Prescribing Practitioner Medical Doctor 43984 12/17/2018
LANKER, MARK DARRYL Supervising Prescribing Practitioner Medical Doctor 111494 12/17/2018
LAPP, JOHN KOEHLER Supervising Prescribing Practitioner Osteopathic Physician 4816 12/17/2018
MANSFIELD, OMAYRA LIZZIE Supervising Prescribing Practitioner Medical Doctor 111757 12/17/2018
MAULDIN, JUSTIN ANTHONY Supervising Prescribing Practitioner Medical Doctor 131802 12/17/2018
MAULFAIR, MITCHELL DEAN Supervising Prescribing Practitioner Osteopathic Physician 7054 12/17/2018
MCLAIN, JOHN IV Supervising Prescribing Practitioner Medical Doctor 118207 12/17/2018
MILLARD, CHRISTOPHER J DO Supervising Prescribing Practitioner Osteopathic Physician 6911 12/17/2018
MIRANDA GONZALEZ, EDGAR JAVIER Supervising Prescribing Practitioner Medical Doctor 132070 12/17/2018
MOLINS, CAROLINE MARIE Supervising Prescribing Practitioner Medical Doctor 107349 12/17/2018
MORA MONTERO, CLARA JULIANA Supervising Prescribing Practitioner Medical Doctor 122709 12/17/2018
NAZARIO, STEVEN Supervising Prescribing Practitioner Medical Doctor 87429 12/17/2018
NEVALA, WAYNE MICHAEL M D Supervising Prescribing Practitioner Medical Doctor 83654 12/17/2018
NICHOLS, PATRICIA Supervising Prescribing Practitioner Medical Doctor 89338 12/17/2018
NOBIE, BRIAN A Supervising Prescribing Practitioner Medical Doctor 87679 12/17/2018
OAKLEY, ANGELA GARCIA M D Supervising Prescribing Practitioner Medical Doctor 56710 12/17/2018
O'BRIEN, PAUL BLAKE MD Supervising Prescribing Practitioner Medical Doctor 95514 12/17/2018
O'GRADY, LISA M Supervising Prescribing Practitioner Medical Doctor 69380 12/17/2018
PAGE, ERNEST II Supervising Prescribing Practitioner Medical Doctor 78546 12/17/2018
POOLE, RICHARD M DO Supervising Prescribing Practitioner Osteopathic Physician 13735 12/17/2018
PUTIGNA, FLORIANO Supervising Prescribing Practitioner Osteopathic Physician 8905 12/17/2018
REYES SANTOS, ALEX FRANCISCO Supervising Prescribing Practitioner Medical Doctor 132290 12/17/2018
RODRIGUEZ, EDGARDO MD Supervising Prescribing Practitioner Medical Doctor 65647 12/17/2018
RODRIGUEZ, MARITZA RODRIGUEZ Supervising Prescribing Practitioner Medical Doctor 69301 12/17/2018
SANDERS, BRETT DOUGLAS Supervising Prescribing Practitioner Medical Doctor 115172 12/17/2018
SANTAMBROSIO, MARC Supervising Prescribing Practitioner Osteopathic Physician 8725 12/17/2018
SARKARATI, DAVID Supervising Prescribing Practitioner Osteopathic Physician 9010 12/17/2018
SIMMONDS, YARELIES MALAVE Supervising Prescribing Practitioner Medical Doctor 126238 12/17/2018
SING, WEYLIN Supervising Prescribing Practitioner Osteopathic Physician 8721 12/17/2018
SMOLTER, PATRICIA ELIZABETH Supervising Prescribing Practitioner Osteopathic Physician 12707 12/17/2018
TEMPEL, RICHARD ANDREW MD Supervising Prescribing Practitioner Medical Doctor 102329 12/17/2018
THABET, ASHRAF Supervising Prescribing Practitioner Osteopathic Physician 11277 12/17/2018
THOMETZ, DONALD PAUL Supervising Prescribing Practitioner Medical Doctor 130218 12/17/2018
TOMECSEK, KEVIN JOSEPH Supervising Prescribing Practitioner Medical Doctor 123302 12/17/2018
VANDERVELDE, KRISTEN C Supervising Prescribing Practitioner Osteopathic Physician 12002 12/17/2018
YORKE, JENNIFER A Supervising Prescribing Practitioner Osteopathic Physician 13134 12/17/2018
YOUNG, VICTOR CHANCE Supervising Prescribing Practitioner Osteopathic Physician 8339 12/17/2018

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Name Relationship Profession License Effective Date
BRISTER, TRENT SMITH Prescribing Physician Assistant Physician Assistant 3641 10/25/2022

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/17/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.